Tammi Endicott Blankenship, NP
Nurse Practitioner in Logan, WV. Individual provider (NPI-1).
NPI number1477042943
StatusActive
Last updated in NPPESMay 9, 2018
Details
- NPI
- 1477042943
- Entity type
- Individual (NPI-1)
- Name
- Tammi Endicott Blankenship
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2018
- Last updated
- May 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 54203 | WV | Yes |
Practice location
20 Hospital DrLogan, WV 25601-3452
Phone 304-831-1643
Mailing address
Po Box 708760Sandy, UT 84070-8760
Phone 801-352-9500 · Fax 801-352-7976
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Nurse Practitioner providers in Logan · All 640 providers in Logan
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